HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `3 `a a Permit Number: Za SS
a
RECEIVED
Building Permit Application JAN S j 2020
Planning and Development Services ST. Lucie Count
Building and Code Regulation Division Y� Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: �� a� t) da(-
PROPOSED IMPROVEMENT LOCATION:
Address: 8284 Spicebush,Port St Lucie,FL 34953
Property Tax ID#:3426-703-0087-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Charles&Sharyn Hipsman
DETAILED DESCRIPTION OF WORK:
Replacement 14 Windows and 1 Doors
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$26,000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameCharles&Sharyn Hipsman Name:Steve Lambert
Address:8284 Spicebush Company:Newsouth Window Solutions
City. Port St Lucie State:FL Address:2526 Okeechobee Blvd.
Zip Code:34953 Fax: City:West Palm Beach State:FL
Phone No.(772)343-8547 Zip Code:33409 Fax:561-478-4100
E-Mail:sharynhipsman@yahoo.com Phone No 561-712-9000
FlII in fee simple Title Holder on next page{if different E-Mail'estpalmbeach@newsouthwindow.com
from the Owner listed above) State or County License SCC131151763
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Add ress• Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE.TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced priorto the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
Thefollowing building permit applications are exemptfrom undergoing a full concurrency review:.room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTA-OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO ENCEMENT.A
nature of Owner/LdsseO&Airactor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO�D STATE OF FLC' A
COUNTY OF 1�\Yn dry COUNTY OF Minn, 8eclan
The fprigging instrument was acknowledg d before me The forgoing instrument was acknowledged before me
thisday of �(�(�[ 2 by this day of20c_�Q by
QY 1YA� �4 co
co
fZ5 Name of person making state ent. Name�n making statement.
Personally Known OR Produced identification Personally Known �OR Produced IdentificationType of Identification Type of Identification NProduced Z , Produced
/
(signiture of No ary Pub IP G. PEROTTI nature f Notary Public-State of Florida ) L
Commission No. �:Statgg of Florida Notary 54 c*= Co4�emad�sion # GG 1ss5a mmission No. C5G 17c7CLJ (Seal) 5
My Commission Expires
December 1 o, 2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19